Director, HEDIS Quality & Process Improvement job opportunity at Centene Corporation.

Home Jobs In United States Of America Tag: HEDIS Quality & Process Improvement Director, HEDIS Quality & Process Improvement position at Centene Corporation


DatePosted 3 Days Ago bot
Centene Corporation Director, HEDIS Quality & Process Improvement
Experience: 6-years
Pattern: Remote
Country:
apply Apply Now
Salary:
Status:

HEDIS Quality & Process Improvement

Copy Link Report
degreeBachelor's (B.A.)
loacation Remote-MO, United States Of America
loacation Remote-MO....United States Of America

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   *Applicants for this job have the flexibility to work remote from home anywhere in the United States. Position Purpose: Lead and direct process improvement initiatives by utilizing process improvement methodologies in the analysis of current operations and design of improvement projects across all areas that impact operations. This Director will be accountable for managing the end-to-end NCQA audit timeline and ensuring the organization successfully passes audit each year. Oversee the administration, coordination and evaluation of quality assurance and training, including policy and procedure development, training assessments and quality adherence auditing Direct the execution of performance improvement projects, including process mapping and process design Create and maintain dashboards, communications, and strategies to improve effectiveness Research and develop best practices, policies, procedures, and goals in compliance with internal and external guidelines Oversee data analysis and gathering processes and programs to establish costs and benefits of process effectiveness and efficiency Ensure business unit is compliant with URAC and Joint Commission Accreditation standards Review and implement new technological tools and processes Establish strong collaborative relationships with all functional units and their leaders Knowledge/Experience: Bachelors Degree in related field. 6+ years of quality and process improvement experience. Healthcare industry experience preferred. Knowledge of research methodologies including measures and outcomes; knowledge of process mapping, process design, and workflow management software and applications. URAC and Joint Commission Accreditation experience preferred. Deep experience leading end-to-end HEDIS audits and managing NCQA timelines highly preferred. License/Certificates: Six Sigma/LEAN Certification preferred. Pay Range: $118,400.00 - $219,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law , including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Other Ai Matches

remote-jobserver Remote
Provider Engagement Network Specialist Applicants are expected to have a solid experience in handling Job related tasks
Manager, Quality Improvement Applicants are expected to have a solid experience in handling Quality Improvement related tasks
remote-jobserver Remote
Senior Director, Payment Integrity - Regulatory Oversight Applicants are expected to have a solid experience in handling Payment Integrity - Regulatory Oversight related tasks
remote-jobserver Remote
Medicare Appeals Intake Coordinator Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Care Manager (RN) Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Education Coordinator I Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Grievance & Appeals Coordinator I Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Patient Care Advocate Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Senior Site Reliability Engineer Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Senior Director, Vendor Partnerships Applicants are expected to have a solid experience in handling Vendor Partnerships related tasks
remote-jobserver Remote
Manager, Compliance - Conflicts of Interest Applicants are expected to have a solid experience in handling Compliance - Conflicts of Interest related tasks
remote-jobserver Remote
Care Manager (RN) Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
LTSS Service Care Coordinator Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
LTSS Service Care Coordinator Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Provider Engagement Account Manager Applicants are expected to have a solid experience in handling Job related tasks
Ops Configuration/Integration Analyst Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Program Manager II, Onboarding Transformation Applicants are expected to have a solid experience in handling Onboarding Transformation related tasks
Manager, Sales I Applicants are expected to have a solid experience in handling Sales I related tasks
remote-jobserver Remote
Quality Improvement Specialist (Non Clinical) Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Data Analyst III Medical Economics Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Contract Management System Analyst II Applicants are expected to have a solid experience in handling Job related tasks
remote-jobserver Remote
Senior Manager, Financial Planning - FP&A/Medicare Applicants are expected to have a solid experience in handling Financial Planning - FP&A/Medicare related tasks
remote-jobserver Remote
Inside Sales Representative II (Specialty Pharmacy) Applicants are expected to have a solid experience in handling Job related tasks